Inspection Reports for Morgantown Healthcare and Rehabilitation Center

An unannounced revisit was conducted at Morgantown Health and Rehabilitation on 07/11/24 for the annual recertification/licensure survey concluding on March 11, 2024.

The facility was found to have corrected the previously cited deficient practices as reflected on the CMS-2567B.

The document is a plan of correction related to a previously cited investigation survey concluding on 05/22/2024, accepted in lieu of an onsite revisit.

The facility, Morgantown Health and Rehabilitation, is in substantial compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules based on review of plans of correction and credible evidence.

An unannounced complaint investigation was conducted from 05/20/24 to 05/22/24 at Morgantown Health and Rehabilitation related to allegations of abuse, neglect, and medication errors.

The facility was found out of substantial compliance due to failure to timely report an allegation of suspected abuse, improper transfer of a resident causing bruising, and failure to provide ordered antibiotics to a resident. The facility implemented corrective actions including staff reeducation, suspension of involved staff, and monitoring tools.

The complaint investigation included substantiated allegations of abuse and neglect involving Resident #40 and medication administration issues involving Resident #73. The abuse allegation was substantiated with findings of delayed reporting and improper transfer causing injury. The medication issue involved failure to administer ordered antibiotics timely due to approval and supply delays.

The inspection was conducted to assess the facility's compliance with applicable Federal, State, and local Emergency Preparedness requirements.

The facility was found in compliance with all applicable Federal, State, and local Emergency Preparedness requirements.

An unannounced Annual and Complaint survey was conducted to assess compliance with healthcare regulations, investigate complaints, and evaluate resident care and safety.

The facility was found deficient in multiple areas including inaccurate assessments, medication errors, failure to provide timely care, inadequate infection control, incomplete care plans, improper medication storage and administration, and failure to ensure resident rights and safety. Several residents experienced delayed or missed care, medication errors, and lack of proper documentation. Immediate jeopardy was identified related to neglect and medication mismanagement but was abated during the survey.

Complaint #30656, #30315, and #31295 were substantiated. The complaint investigations revealed neglect related to delayed incontinence care, medication errors, and failure to report and investigate allegations properly. Immediate jeopardy was identified related to neglect and medication mismanagement but was abated during the survey.

The inspection was conducted as a routine facility observation tour to assess compliance with fire safety and resident rights regulations.

The facility was found deficient in maintaining proper installation and maintenance of cooking equipment under the kitchen hood extinguishing system, ensuring smoke barriers were properly sealed, and maintaining sprinkler system components such as escutcheons and preventing wires tied to sprinkler lines. These deficiencies could affect all residents, staff, and visitors.

An unannounced complaint investigation survey was conducted at Morgantown Health and Rehabilitation from 10/26/23 to 11/01/23.

The facility was in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and/or 64 CSR 13 Legislative Rules West Virginia Division of Health Nursing Home Licensure Rule. Complaints #29656, #29678 and #29645 were unsubstantiated with no related or unrelated deficiencies cited.

Complaints #29656, #29678 and #29645 were unsubstantiated with no related or unrelated deficiencies cited.

An unannounced complaint investigation survey was conducted at Morgantown Health and Rehabilitation from 10/24/23 to 10/26/23.

The facility was in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia Division of Health Nursing Home Licensure Rule. Complaint #29607 was unsubstantiated with no related or unrelated deficiencies cited.

Complaint #29607 was unsubstantiated with no related or unrelated deficiencies cited.

An unannounced complaint investigation survey was conducted at Morgantown Health and Rehab from 09/26/23 to 09/27/23.

The facility was found to be in substantial compliance with applicable regulations. Complaints #29148, #29193, and #29157 were all unsubstantiated.

Complaint #29148 was unsubstantiated. Complaint #29193 was unsubstantiated. Complaint #29157 was unsubstantiated.

An unannounced complaint investigation survey was conducted at Morgantown Health & Rehabilitation Center on 08/30/23.

The facility was in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and West Virginia Nursing Home Licensure Rule. Complaints #28661, #28871, and #29018 were unsubstantiated with no related or unrelated deficiencies cited.

Complaint #28661 was unsubstantiated with no related or unrelated deficiencies cited. Complaint #28871 was unsubstantiated with no related or unrelated deficiencies cited. Complaint #29018 was unsubstantiated with no related or unrelated deficiencies cited.

The inspection was conducted as an annual recertification and annual relicensure survey to assess compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules.

The facility was found to be in substantial compliance with the regulatory requirements, with plans of correction and credible evidence accepted in lieu of an onsite revisit. The facility was compliant with previously cited deficient practices.

An unannounced complaint investigation survey was conducted at Morgantown Health and Rehabilitation from June 6-7, 2023, based on complaints received.

The facility failed to ensure that the staff posting included the total number of licensed and unlicensed nursing staff directly responsible for resident care per shift, potentially affecting all residents who might wish to review the daily staffing.

Complaint #27018 - Unsubstantiated; Complaint #28471 - Unsubstantiated; Complaint #27219 - Unsubstantiated

The visit was conducted as an annual recertification and relicensure survey to assess compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules.

The facility, Morgantown Health and Rehabilitation, was found to be in substantial compliance with the applicable federal and state regulations. A review of plans of correction and credible evidence was accepted in lieu of an onsite revisit.

An unannounced annual recertification, annual relicensure, and complaint investigation survey was conducted at Morgantown Health and Rehabilitation from July 18-21, 2022.

The facility was cited for multiple deficiencies including failure to provide resident dignity and respect, failure to follow resident preferences, unresolved resident grievances, incomplete advance directive documentation, failure to notify family of incidents, improper food temperatures, medication administration errors, infection control breaches, and inaccurate nurse staffing postings.

Multiple complaints were substantiated including issues with resident dignity, care, food quality, staffing, and infection control. Specific complaints involved Residents #71, #3, #52, #60, #56, #44, #12, #74, and others.

The inspection was conducted to assess compliance with the National Fire Protection Association (NFPA) 13 sprinkler system installation requirements in the facility.

The facility failed to ensure that the automatic sprinkler system was installed according to NFPA 13 standards, with multiple sprinkler heads located less than twelve inches from light fixtures, exceeding the maximum allowable distance. Immediate corrective actions were taken to move the lights, and a plan for monthly audits and staff re-education was implemented.

The visit was conducted as an annual recertification and relicensure survey to assess compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules.

The facility was found to be in substantial compliance with the regulatory requirements, with plans of correction and credible evidence accepted in lieu of an onsite revisit. Previously cited deficient practices were addressed.

The inspection was conducted to assess the facility's compliance with the NFPA 101, Life Safety Code, 2012, and Emergency Preparedness requirements.

The facility was found to be without waivers and in compliance with the provisions of NFPA 101, Life Safety Code, 2012, and all applicable Federal, State, and local Emergency Preparedness requirements.

An unannounced annual re-certification and annual re-licensure survey was conducted at Morgantown Health and Rehabilitation Center from April 5-7, 2021, including complaint investigations.

The facility was found deficient in multiple areas including resident dignity and rights, advance directives completion, safe and clean environment, medication management, abuse investigation, assessment accuracy, respiratory care, pain management, drug storage, and infection control. Specific issues included uncovered urinary drainage systems, incomplete advance directives, soiled linens not changed timely, narcotic discrepancies, improper oxygen storage and signage, and lack of isolation signage for infection control.

Complaint #25265 and #25204 were substantiated with related tags at F610. Complaint #25275 was unsubstantiated with no related or unrelated tags cited.

An unannounced focused infection control survey was conducted at Morgantown Health and Rehabilitation from January 18, 2021 to January 19, 2021.

The facility was in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and/or 64 CSR 13 Legislative Rules West Virginia Division of Health Nursing Home Licensure Rule.

A COVID-19 Focused Infection Control Survey and Emergency Preparedness Survey was conducted by the state survey agency.

The facility was found in compliance with infection control regulations and CMS and CDC recommended practices to prepare for COVID-19.

The visit was conducted as an annual recertification and relicensure survey to assess compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules.

The facility was found to be in substantial compliance with the applicable federal and state regulations, with no new deficiencies cited during this survey. A review of plans of correction and credible evidence was accepted in lieu of an onsite revisit.

An unannounced annual re-certification and annual re-licensure survey was conducted at Morgantown Health and Rehabilitation Center from 12/02/19 through 12/05/19.

The survey identified multiple deficiencies including failure to ensure resident dignity during dining, failure to provide personal bathing preferences, incomplete Physician Orders for Scope of Treatment (POST) forms, inadequate baseline care plan for tracheostomy care, inaccurate care plan for toileting assistance, failure to notify physician timely of stat lab results, failure to provide proper assistive devices for vision, failure to ensure psychotropic medication dose reductions, incomplete resident inventory of personal effects forms, and infection control lapses related to hand hygiene and equipment handling.

The inspection was conducted to assess compliance with NFPA 101 fire safety standards, specifically regarding egress door locking mechanisms and hazardous area enclosures.

The facility failed to maintain time-delay exit locks in accordance with NFPA 101, with all exit doors having a 30-second delay instead of the required 15 seconds. Additionally, hazardous areas such as the emergency food storage room and dietary janitor closet lacked proper self-closing and latching hardware on doors.

An unannounced revisit was conducted for the Quality Indicator and Licensure Surveys to verify correction of previous deficiencies.

The facility remained out of compliance with deficiencies related to privacy/confidentiality of records, medication labeling and storage, meal provision, and quality assurance. Specific issues included an unlocked computer with resident records accessible, unlabeled insulin vials, a contaminated pill cutter, a missed breakfast tray for a resident, and failure of the Quality Assessment and Assurance program to identify these deficiencies.

The visit was conducted as an annual recertification and relicensure survey to assess compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules.

The facility was found to be in substantial compliance with the regulatory requirements based on a review of plans of correction and credible evidence accepted in lieu of an onsite revisit. Previously cited deficient practices were corrected.

The inspection was conducted to assess compliance with NFPA 101 Life Safety Code requirements, including hazardous area enclosures, portable fire extinguishers, electrical systems, and electrical equipment testing and maintenance.

The facility was found deficient in maintaining hazardous areas with automatic-closing doors, proper installation and maintenance of portable fire extinguishers, electrical wiring terminations, and electrical safety testing for portable patient-care related equipment. The maintenance director acknowledged the deficiencies and corrective actions were planned.

An unannounced annual re-certification and annual re-licensure survey was conducted at Morgantown Health and Rehabilitation Center from 11/12/18 through 11/15/18, including an extended survey from 11/14/18 through 11/15/18.

The facility was found deficient in multiple areas including failure to protect residents from abuse, failure to report and investigate abuse allegations, inadequate training and competency of Licensed Practical Nurses (LPNs) in intravenous therapy, failure to ensure proper medication management including psychotropic medication dose reductions, failure to maintain proper labeling and security of medications, failure to obtain ordered laboratory tests, and failure to provide prescribed mobility equipment. Immediate Jeopardy was identified related to IV therapy competency but was abated with corrective actions.

An unannounced complaint investigation was conducted at Morgantown Health and Rehabilitation Center from 08/06/18 through 08/08/18 for Complaint Reference #20457 and #20537.

The allegations were unsubstantiated and no related or unrelated deficient practices were identified. The facility was in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and 64 CSR 13 Legislative Rules West Virginia Division of Health Nursing Home Licensure Rule.

The allegations were unsubstantiated and no related or unrelated deficient practices were identified.

An unannounced complaint investigation was conducted from April 16, 2018 to April 18, 2018 at Morgantown Health and Rehabilitation Center for Complaint Reference #20159.

The allegations were unsubstantiated and no related or unrelated deficient practices were identified. The facility was in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and 64 CSR 13 Legislative Rules West Virginia Division of Health Nursing Home Licensure Rule.

The allegations were unsubstantiated and no related or unrelated deficient practices were identified.

An unannounced revisit was conducted from April 3, 2018 to April 5, 2018 for the annual recertification and relicensure survey concluding on January 11, 2018.

The facility was found to have corrected the previously cited deficient practices and substantial compliance was effective as of March 12, 2018.

An unannounced annual recertification survey, relicensure survey, and complaint investigation was conducted at Morgantown Health and Rehabilitation Center from January 8, 2018 through January 11, 2018, including an extended survey on January 10, 2018.

The facility was found deficient in multiple areas including failure to promote resident dignity by staff entering rooms without knocking, failure to ensure resident choice in food preferences, failure to notify physician and medical power of attorney timely regarding pressure ulcers, inaccurate minimum data set assessments, failure to revise care plans, failure to provide proper care for enteral feeding residents, failure to provide medically related social services, failure to ensure timely bowel management for residents on opioids, failure to maintain proper medication storage and labeling, failure to assist residents in obtaining dental care, failure to maintain accurate medical records, and failure to follow infection control practices.

Complaint Reference #18972 was unsubstantiated with no related or unrelated deficiencies cited.

The inspection was conducted to assess compliance with fire safety drills and electrical equipment testing requirements, as well as other regulatory standards.

The facility failed to perform quarterly fire drills on each shift and did not complete required electrical safety testing for portable patient-care related equipment. The facility was found in compliance with all applicable Federal, State, and local Emergency Preparedness requirements.

The inspection was conducted as a complaint investigation based on complaint references #17703 and #18106, with a review of plans of correction and credible evidence accepted in lieu of an onsite revisit.

The facility, Golden Living Center Morgantown, was found to be in substantial compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules. Previously cited deficient practices were corrected as evidenced by the accepted plans of correction.

The visit was complaint-related with references to complaints #17703 and #18106. The facility was found in substantial compliance following review of plans of correction and credible evidence, with no onsite revisit required.

An unannounced complaint survey was conducted at Golden Living Center Morgantown from June 19, 2017 to June 21, 2017, based on complaint references #18106 and #17703.

The complaint investigation found one unrelated deficiency involving an unlocked South Hall Shower Room containing hazardous items accessible to residents. The facility failed to maintain an environment free from accident hazards under its control.

Complaint references #18106 and #17703 were unsubstantiated with one unrelated deficiency cited.

An unannounced complaint investigation was conducted at Golden Living Center Morgantown from 02/13/17 to 02/15/17 for Complaint Reference #17069.

The allegations were unsubstantiated and no related or unrelated deficient practices were identified. The facility was in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities and 64 CSR 13 Legislative Rules West Virginia Division of Health Nursing Home Licensure Rule.

Complaint Reference #17069 was investigated and found unsubstantiated with no deficiencies identified.

An unannounced revisit was conducted for the Quality Indicator Survey, State Licensure survey, and Complaint Investigation #16117 concluding on 2016-10-17.

The facility was found to have corrected the previously cited deficient practices as reflected on the CMS-2567B.

Complaint Investigation #16117 was part of the visit; the facility corrected the cited deficiencies.

Unannounced annual Quality Indicator and State Licensure Surveys were conducted from October 4, 2016 through October 17, 2016. Complaint Investigation 16117 was also conducted and substantiated with deficiencies resulting.

The facility was found deficient in multiple areas including comprehensive assessments, notice requirements before transfer/discharge, resident rights to make choices, assessment accuracy, participation in care planning, services by qualified persons per care plan, infection control, food handling, clinical record accuracy, and quality assurance committee effectiveness. Notably, a resident suffered a fall due to removal of side rails without physician order resulting in a brain bleed and death. Several residents had missing or non-functioning bed alarms despite physician orders. Infection control lapses and privacy breaches were also identified.

Complaint Investigation 16117 was substantiated with deficiencies resulting.

The inspection was conducted to evaluate compliance with the NFPA 101 Life Safety Code standards, specifically focusing on the conduct of fire drills at unexpected times under varying conditions across all shifts.

The facility failed to ensure that fire drills were conducted at unexpected times under varying conditions for the afternoon and midnight shifts over four quarters from October 2015 through September 2016. Fire drills for the afternoon shift were all conducted within 1.5 hours of each other, and three of four midnight shift drills were conducted within 15 minutes of each other.

An unannounced second revisit was conducted to follow up on the Complaint Reference #14803 concluding on December 11, 2015.

The facility was found to have corrected the previously cited deficient practices as reflected on the CMS-2567B.

Complaint Reference #14803 was the basis for the revisit survey.

An unannounced revisit was conducted for a Complaint Investigation Survey concluding on 12/11/15, to determine compliance with cited deficiencies.

The facility was found to remain out of compliance with F323 (free of accident hazards/supervision/devices) and new citations were issued at F282 (services by qualified persons/per care plan) and F309 (provide care/services for highest well being). The facility failed to implement the care plan related to safety issues for Resident #60, who was not wearing non-skid footwear as ordered, increasing fall risk.

Complaint Reference: 14803. The revisit was conducted due to a complaint investigation survey concluding on 12/11/15.

An unannounced complaint survey was conducted at Golden LivingCenter-Morgantown from December 9, 2015 to December 11, 2015, based on complaint #14803 which was substantiated with related and unrelated deficiencies.

The facility failed to provide medically-related social services, failed to prevent neglect resulting in a resident fall with injury, failed to report and investigate multiple unwitnessed falls requiring medical intervention, failed to maintain accurate medical records, failed to develop comprehensive care plans reflecting resident needs, and failed to provide adequate supervision to cognitively impaired residents to prevent accidents.

Complaint #14803 was substantiated. The complaint investigation revealed neglect and inadequate supervision leading to resident falls with injury, failure to report and investigate incidents properly, and deficiencies in care planning and social services.

The document is a plan of correction related to a Quality Indicator Survey that concluded on 09/14/15, accepted in lieu of an onsite revisit.

The facility, Golden LivingCenter - Morgantown, is in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities, with previously cited deficient practices addressed.

An unannounced complaint investigation was conducted at Golden LivingCenter - Morgantown for Complaint Reference 14440.

The allegations were unsubstantiated and no related or unrelated deficient practices were identified. The facility was in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities.

Complaint Reference 14440 was unsubstantiated with no deficient practices identified.

The inspection was conducted to assess compliance with NFPA 101 Life Safety Code standards, including the condition and maintenance of automatic sprinkler systems and electrical wiring and equipment in the facility.

The facility failed to maintain sprinkler pipes free from obstruction and properly fitted sprinkler escutcheons, and electrical wiring issues were found including missing GFCI receptacles, missing box covers, and improperly terminated wiring. These deficiencies were verified with facility maintenance and administration during the inspection.

Unannounced annual recertification survey conducted from September 8, 2015 through September 14, 2015 to assess compliance with federal and state regulations.

The facility was found deficient in multiple areas including failure to post required resident rights information, failure to notify responsible parties of changes in condition, inaccurate resident assessments, incomplete care plans, failure to implement care plans, failure to follow physician orders for medications, inadequate personal hygiene care, medication errors, failure to post nurse staffing information, and infection control deficiencies.

The inspection was conducted as a complaint investigation, reviewing plans of correction and credible evidence in lieu of an onsite revisit for complaints concluding on 2015-04-01.

The facility, Golden LivingCenter - Morgantown, was found to be in substantial compliance with 42 CFR Part 483 and West Virginia nursing home licensure rules, with previously cited deficient practices corrected.

Complaint Reference: 12994. The complaint investigation concluded with the facility in substantial compliance and no onsite revisit was required.

An unannounced complaint survey was conducted at Golden LivingCenter-Morgantown from March 30, 2015 to April 1, 2015, triggered by complaint #12994 which was unsubstantiated with an unrelated deficiency.

The facility failed to store and distribute food under sanitary conditions, including snacks stored directly on the floor and snacks served on trays with previously consumed drinks. These sanitation issues had the potential to affect more than a limited number of residents.

Complaint #12994 was unsubstantiated with an unrelated deficiency. The deficiency cited was based on observation and staff interview during the complaint investigation.

The inspection was conducted as a complaint investigation referenced by complaint number 11912.

The complaint was substantiated; however, no citations were issued as a result of the investigation.

Complaint Reference: 11912. Substantiated complaint record with no citations.

An unannounced revisit was conducted at Golden LivingCenter - Morgantown on 08/13/14 to 08/14/14 for Complaint Reference 11425 concluding on 06/17/14.

The facility was found to have corrected the previously cited issues as reflected on the CMS-2567B.

Complaint Reference 11425 was investigated and the facility was found to have corrected the cited issues.

An unannounced complaint survey was conducted due to complaint #11425, which was substantiated with related and unrelated deficiencies cited.

The facility failed to notify the physician of a change in condition in a timely manner for Resident #13, resulting in delayed diagnosis of bilateral hip fractures. The facility also failed to prevent resident-to-resident mistreatment by Resident #71, who had a history of aggressive behavior including ramming other residents with her power wheelchair. Additionally, the facility failed to investigate an injury of unknown origin and failed to ensure adequate supervision to prevent elopements and falls.

Complaint #11425 was substantiated with related and unrelated deficiencies cited. The complaint sample consisted of 16 residents. The facility census on the first day of the complaint investigation survey was 97 residents.

The document is a plan of correction submitted in response to previously cited deficiencies during the Quality Indicator and Licensure Surveys concluding on 01/24/14.

The facility, Golden LivingCenter-Morgantown, is in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities, with accepted plans of correction and credible evidence in lieu of an onsite revisit.

The inspection was conducted as a complaint investigation, with a review of plans of correction and credible evidence accepted in lieu of an onsite revisit for the complaint investigation(s) concluding on 02/12/14.

The facility, Golden LivingCenter - Morgantown, was found to be in substantial compliance with 42 CFR Part 483 Requirements for Long Term Care Facilities, and was in substantial compliance with previously cited deficient practices.

Complaint Reference: 14016 / 9991. The complaint investigation concluded on 02/12/14 with the facility in substantial compliance.

An unannounced complaint investigation was conducted due to allegations of missing money from residents' rooms.

The facility failed to report and thoroughly investigate alleged misappropriation of personal property for seven residents who reported missing money. There was no evidence the facility made efforts to identify the perpetrator or protect other residents from further loss.

Substantiated complaint record with a related citation. The facility did not report missing money allegations to authorities due to lack of a known suspect and viewed the situation as a he said/she said scenario. Residents reported multiple incidents of missing money and other personal items. The facility reimbursed residents but did not conduct thorough investigations or coordinate with law enforcement.

Unannounced annual Quality Indicator and State Licensure Surveys were conducted from January 20, 2014 through January 24, 2014 to assess compliance with regulatory requirements.

The facility was found deficient in multiple areas including inaccurate resident assessments, incomplete care plans, failure to monitor medication side effects, improper medication administration, medication storage issues, infection control program deficiencies, incomplete clinical records, and ineffective quality assurance activities.

The inspection was conducted to review facility documentation, staff interviews, observations, and performance testing to determine compliance with NFPA 101, Life Safety Code, 2000.

The facility was found to be without waivers and in compliance with the provisions of NFPA 101, Life Safety Code, 2000.

The inspection was conducted as a complaint investigation based on complaint reference 13205 / 8694.

The complaint was unsubstantiated and no citations were issued during the investigation.

Complaint reference 13205 / 8694 was investigated and found to be unsubstantiated with no citations.

The inspection was conducted as a complaint investigation based on complaint reference 13168 / 8477.

The complaint was found to be unsubstantiated with no citations issued.

Complaint reference 13168 / 8477 was investigated and found to be unsubstantiated with no citations.

The inspection was conducted in response to a complaint referenced as 8338 / 13148.

The complaint was found to be unsubstantiated and no citations were issued.

Complaint Reference: 8338 / 13148. Unsubstantiated complaint with no citations.

The inspection was conducted in response to three complaint references: 13067/7869, 13100/8047, and 13106/8076.

All three complaints were found to be unsubstantiated with no citations issued.

Complaint References 13067/7869, 13100/8047, and 13106/8076 were investigated and found to be unsubstantiated with no citations.

This document is a Plan of Correction related to deficiencies identified during a prior inspection of Morgantown Heights of Journey nursing facility.

The report identifies a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand, including Medicaid-related information.

The inspection was conducted as a complaint investigation related to substantiated complaints concerning the facility's failure to provide relevant medical information to acute care facilities during resident transfers and failure to identify and treat changes in resident status.

The facility failed to provide adequate clinical information to receiving acute care hospitals for residents transferred in emergency situations, as documented for Resident #63 and four other residents. Additionally, the facility failed to identify and treat hypoglycemia symptoms in Resident #63, who had insulin-dependent diabetes mellitus, prior to transfer.

Complaint Reference: 7663 / 13034. The complaint was substantiated with citations related to failure to provide adequate transfer information and failure to identify and treat hypoglycemia.

Paper revisit to verify that all previously cited deficiencies have been corrected and are now in substantial compliance.

All citations from the prior inspection are now back in substantial compliance as confirmed by the paper revisit.

Onsite revisit to a traditional survey conducted on 06/08/12 to verify correction of previous deficiencies.

The facility was found deficient in maintaining resident dignity and respect, safe and homelike environment, unnecessary drug use, and infection control practices. Specific issues included inappropriate signage revealing personal information, urine odor and clutter in resident rooms, improper bed making, continued use of medications after orders to reduce, and failures in infection control such as improper medication handling, linen storage, handwashing, and nebulizer equipment storage.

Routine standard survey of Morgantown Heights of Journey nursing facility to assess compliance with federal regulations.

The facility was found deficient in multiple areas including dignity and respect of residents, activities meeting residents' needs, comprehensive assessments, care planning, provision of services per care plan, prevention and healing of pressure sores, infection control, medication management, nutrition, and food safety. Specific issues included failure to maintain resident dignity, inadequate activity participation for cognitively impaired residents, incomplete and inaccurate assessments, failure to revise care plans, improper use of assistive devices, medication errors, poor food quality and temperature control, and lapses in infection control practices.

The inspection was conducted to review facility documentation, staff interviews, observations, and performance testing to determine compliance with NFPA 101, Life Safety Code, 2000.

The facility was found to be without waivers and in compliance with the provisions of NFPA 101, Life Safety Code, 2000.

The inspection was conducted in response to a complaint referenced as State 12090 / ACTS 7074.

The complaint investigation was unsubstantiated and no citations were issued.

Complaint Reference: State 12090 / ACTS 7074. The complaint was unsubstantiated with no citations.

This document is a Plan of Correction related to deficiencies identified during a prior inspection of Morgantown Heights of Journey nursing facility.

The report includes a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand, as required by federal regulations.

The inspection was conducted as a complaint investigation based on complaint reference #11192.

The complaint was found to be unsubstantiated and no deficiencies were cited during the investigation.

Complaint reference #11192 was unsubstantiated with no deficiencies cited.

The inspection was conducted as a complaint investigation related to infection control and notification of lab results.

The facility failed to maintain an effective infection control program, including lack of proper signage and personal protective equipment at isolation rooms for several residents, and delayed discontinuation of isolation precautions. Additionally, the facility failed to promptly notify the physician of an abnormal lab result for one resident.

Complaint reference #11161 was unsubstantiated with unrelated deficiencies cited.

This document is a Plan of Correction related to deficiencies identified during a prior inspection of Morgantown Heights of Journey nursing facility.

The report includes a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand, as required by federal regulations.

The inspection was conducted as a complaint investigation related to allegations of resident abuse and neglect, specifically concerning failure to report and investigate abuse/neglect allegations in a timely manner.

The facility was found to have substantiated deficiencies including failure to immediately report and thoroughly investigate allegations of abuse/neglect to the State survey agency, and failure to ensure proper hand hygiene by nursing staff during medication administration.

Complaint reference #11099 was substantiated with deficiencies cited related to failure to report and investigate abuse/neglect allegations. The facility failed to immediately report or thoroughly investigate allegations made on behalf of Resident #88 and failed to timely report abuse/neglect allegations by Employee #107 (former social worker).

This document is a Plan of Correction related to deficiencies identified during a prior inspection of the facility Morgantown Heights of Journey.

The document includes a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand, as required by regulation 483.10(b)(5)-(10).

The inspection was conducted as a substantiated complaint investigation related to allegations of neglect, mistreatment, and failure to verify surrogate decision-maker authority for residents.

The facility was found deficient in verifying legal authority of surrogate decision-makers, failure to report allegations of neglect and mistreatment to appropriate agencies, failure to ensure resident safety by not implementing preventive interventions after an accident, and inaccuracies in medical records regarding medication orders for residents.

Complaint reference #10372 was substantiated with deficiencies cited related to failure to verify surrogate decision-maker authority, failure to report neglect and mistreatment allegations, and other care deficiencies.

The inspection was conducted concurrently with the facility's annual Federal Medicare/Medicaid certification resurvey and State licensure inspection.

The facility was found deficient in multiple areas including failure to properly notify residents and families about discontinuation of Medicare-covered services, failure to notify responsible parties of significant changes in resident status, failure to maintain resident dignity during dining, inaccurate assessments and care plans, medication order and administration errors, improper storage and labeling of medications and supplies, infection control lapses, and failure to ensure dietary staff had required food handler's cards.

Complaint reference #10022 was unsubstantiated with no related deficiencies cited.

The inspection was conducted to review facility documentation, staff interviews, and observations to determine compliance with NFPA 101, Life Safety Code; 2000 Existing Edition.

The facility was found to be in compliance with the provisions of NFPA 101, Life Safety Code; 2000 Existing Edition.

A comparative Federal Monitoring Survey was conducted on 3/25/09 in accordance with 42 CFR Part 483, Requirements for Long Term Care Facilities, to assess compliance with Medicare and Medicaid program participation requirements.

The facility was found not in substantial compliance due to failure to ensure corridor doors resist the passage of smoke. Specifically, 6 out of 6 bedroom doors could not close when bathroom doors were open, affecting 95% of occupants.

This document is a Plan of Correction submitted in response to deficiencies identified during a prior inspection of the facility.

The document references a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges both orally and in writing in a language they understand, as required by regulation 483.10(b)(5)-(10).

The inspection was conducted to assess the facility's compliance with the provisions of NFPA 101, Life Safety Code; 2000 Existing Edition.

Based on review of facility documentation, staff interview, and observations, the facility was determined to be in compliance with the NFPA 101, Life Safety Code; 2000 Existing Edition.

The inspection was conducted as a complaint investigation related to allegations of neglect and mistreatment, concurrently with the facility's annual Federal Medicare/Medicaid certification resurvey and State licensure inspection.

The facility was found to have multiple deficiencies including failure to immediately report allegations of neglect to appropriate State agencies, failure to maintain resident dignity and respect, inaccurate resident assessments, incomplete comprehensive care plans especially regarding hospice services, failure to provide care to maintain highest practicable well-being, and failure to maintain infection control procedures during wound care for a resident with multi-drug resistant organisms.

Complaint reference #9006 was unsubstantiated with no related deficiencies cited. However, the complaint investigation revealed failures in reporting neglect allegations for residents #22 and #96.

The inspection was conducted in response to complaint references #2-8220 and #2-8256.

The complaint records were found to be unsubstantiated with no deficiencies cited during the investigation.

Complaint references #2-8220 and #2-8256 were investigated and found to be unsubstantiated with no deficiencies cited.

This document is a Plan of Correction related to deficiencies identified during a prior inspection of Morgantown Heights of Journey nursing facility.

The report identifies a deficiency related to the facility's failure to properly inform residents of their rights, rules, services, and charges as required by regulation.

The inspection was conducted as a complaint investigation following substantiated and unsubstantiated complaints regarding resident care and staff conduct.

The facility was found to have deficiencies related to failure to report an allegation of neglect involving two nurse aides and Resident #70 to the Nurse Aide Abuse Registry, and failure to provide adequate supervision to prevent an avoidable accident resulting in Resident #70 falling and sustaining a laceration requiring hospital treatment.

Complaint reference #2-8216 was unsubstantiated with no deficiencies cited. Complaint reference #2-8200 was substantiated with deficiencies cited related to neglect and inadequate supervision involving Resident #70.

The visit was a paper revisit to follow up on previous deficiencies.

The document is a statement of deficiencies and plan of correction related to resident rights and notification requirements, with no detailed findings provided in this excerpt.

The inspection was conducted as a complaint investigation, including substantiated and unsubstantiated complaints related to resident care and safety.

The facility was found deficient in providing adequate supervision and assistive devices to prevent avoidable falls for multiple residents, and in maintaining complete and accurate clinical records, including documentation of incidents and investigations.

Complaint reference #2-8118 was substantiated with deficiencies cited. Complaint references #2-8102 and #2-8119 were unsubstantiated with no related deficiencies cited.

The surveyor entered the facility to investigate complaint #2-8102, conducting a document review, facility tour, staff interviews, and observations.

The allegations in the complaint were not substantiated due to lack of evidence. Residents were noted to be clean and well groomed with no odors detected.

Complaint #2-8102 was investigated and found unsubstantiated due to lack of evidence.

The inspection was conducted as a complaint investigation referenced as #2-8052.

The complaint was substantiated; however, no deficiencies were cited during the investigation.

Complaint reference #2-8052 was substantiated with no deficiencies cited.

The inspection was conducted as a complaint investigation referenced as #2-7290.

The complaint was unsubstantiated and no deficiencies were cited during the investigation.

Complaint reference #2-7290 was unsubstantiated with no deficiencies cited.

The inspection was conducted as an annual Federal Medicare/Medicaid certification resurvey and State licensure inspection, including a complaint investigation which was unsubstantiated.

The facility was found deficient in multiple areas including failure to complete capacity determination statements, failure to provide privacy during care, inadequate criminal background checks for contracted workers, incomplete monitoring of physician orders and intake/output, serving food at improper temperatures, unsanitary food service conditions, failure to ensure physician visits and documentation compliance, inadequate infection control practices, and failure to provide mandatory Alzheimer's disease training to new employees.

Complaint reference #2-7231 was unsubstantiated with no related deficiencies cited.

The inspection was conducted to assess compliance with NFPA 101, Life Safety Code, specifically focusing on the maintenance and condition of the facility's automatic sprinkler system.

The facility was found to be non-compliant with NFPA 25 standards as fourteen sprinkler heads in the kitchen area were corroded, indicating failure to maintain the sprinkler system properly.

Paper revisit to review the facility's plan of correction following a prior inspection.

The document is a statement of deficiencies and plan of correction related to resident rights and notification requirements. Specific deficiencies are noted with corrective actions planned.

The inspection was conducted in response to a complaint identified as reference #2-7199.

The complaint was found to be unsubstantiated and no deficiencies were cited during the investigation.

Complaint reference #2-7199 was unsubstantiated with no deficiencies cited.

The inspection was conducted as a complaint investigation referencing complaints #2-7148 and #2-7178, which were substantiated with deficiencies cited.

The facility was found deficient in promoting resident dignity, as a resident was transported uncovered on a shower bed exposing her hip and thigh. Additionally, the facility failed to ensure that all nursing aides had current and valid registrations, with one aide providing care during a lapse in registration.

Complaint references #2-7148 and #2-7178 were substantiated with deficiencies cited.

The document is a plan of correction related to a paper revisit survey conducted at the facility.

The document references a deficiency related to the facility's obligation to inform residents of their rights and services, including Medicaid-related information, but does not provide detailed findings.

The inspection was conducted as a complaint investigation following substantiated complaints regarding inadequate laundry services and infection control issues related to linens and personal clothing.

The facility failed to maintain an adequate supply of clean linens and personal clothing for residents, had scheduling problems in the laundry department, and did not handle and process linens in a manner that prevents the spread of infection. Observations revealed soiled linens and mop heads improperly stored, wet linens in dryers, and residents lacking clean clothing.

Complaint reference #2-7058 was substantiated with deficiencies cited related to laundry and infection control issues.

The inspection was conducted as a complaint investigation referenced as 2-7003.

The complaint was unsubstantiated and no deficiencies were cited during the investigation.

Complaint reference: 2-7003. Unsubstantiated complaint record with no deficiencies cited.

Paper revisit to review previously identified deficiencies and the facility's plan of correction.

The document contains a statement of deficiencies related to resident rights and notification requirements, with a focus on informing residents of their rights and services. No new deficiencies or severity levels are explicitly stated.

The inspection was conducted as a complaint investigation referenced as #2-6289.

The complaint was unsubstantiated and no deficiencies were cited during the investigation.

Complaint reference #2-6289 was unsubstantiated with no deficiencies cited.

The inspection was conducted as a complaint investigation (reference #2-6256) to address concerns related to resident care and staff qualifications.

The facility was found deficient in failing to provide adequate adaptive hearing devices for a resident with hearing loss and employing a corporate nurse consultant who was not licensed in the state. Deficiencies were substantiated with citations issued.

Complaint reference #2-6256 was substantiated with deficiencies cited related to hearing care and staff licensing.

This document is a plan of correction related to a previously identified deficiency regarding the facility's obligation to inform residents of their rights, rules, services, and charges.

The facility was cited for failing to properly inform residents both orally and in writing about their rights, rules, services, and charges as required by regulations.

The inspection was conducted as part of the Alzheimer's unit's annual licensure survey and included investigation of substantiated complaints #2-6164 and #2-6200.

The facility was found deficient in multiple areas including failure to develop written policies for resident transfer and discharge, inappropriate admission of residents not meeting unit criteria, incomplete social assessments for residents, inadequate activities programming, and poor housekeeping and maintenance conditions.

Complaint references #2-6164 and #2-6200 were investigated and substantiated with deficiencies cited.

Annual inspection survey conducted to assess compliance with federal regulations for nursing facilities.

The facility was found deficient in multiple areas including resident rights, transfer and discharge procedures, staff treatment of residents, accommodation of resident needs, resident assessments, comprehensive care plans, accident hazards, medication errors, infection control, clinical record maintenance, and emergency preparedness.

The inspection was conducted to assess compliance with the NFPA 101 Life Safety Code Standard, specifically to verify that exit access is arranged so that exits are readily accessible at all times.

It was determined that not all facility exit access was readily accessible at all times due to various items being stored or staged in designated Means of Egress, including a paper shredder, trash receptacle, electric wheelchair, patient lift, hydration carts, and ice cart.

The inspection was conducted in response to complaint references #2-5250 and #2-5279.

The complaint records were found to be unsubstantiated with no deficiencies cited during the investigation.

Complaint references #2-5250 and #2-5279 were investigated and found to be unsubstantiated with no deficiencies cited.

This document is a plan of correction related to a paper revisit survey conducted at the facility.

The document references a deficiency related to the facility's obligation to inform residents of their rights and services, but no detailed findings are provided in this excerpt.

The inspection was conducted to assess compliance with NFPA 101 Life Safety Code standards, including fire safety and medical gas storage requirements.

The facility failed to maintain all hazardous room doors with self-closing devices and failed to store oxygen cylinders in accordance with NFPA 99 standards, including unsecured oxygen storage cabinets.

The inspection was conducted as a comprehensive annual survey to assess compliance with federal regulations for nursing facilities, including resident rights, quality of care, infection control, dietary services, and clinical record maintenance.

The facility was found deficient in multiple areas including incomplete determinations of incapacity for residents, lack of a current surety bond for resident funds, failure to properly screen employee licensure, inadequate resident dietary assessments and meal planning, unnecessary drug use without proper assessment, failure to provide appropriate food substitutes, unsanitary food service conditions, outdated infection control policies, failure to prevent spread of infection between residents, and inaccurate clinical records documentation.

The inspection was conducted as a complaint investigation related to staffing levels at the facility.

The facility was found to have substantiated deficiencies including failure to maintain adequate nursing staffing levels averaging at least 2.25 hours per resident per day during weekend periods. The facility director of nurses confirmed staffing levels fell below the required average on three of eight weekend days reviewed.

Complaint reference #2-5077. Substantiated complaint record with deficiencies cited.

The inspection was conducted in response to a complaint referenced as #2-4388.

The complaint was found to be unsubstantiated and no deficiencies were cited during the investigation.

Complaint reference #2-4388 was unsubstantiated with no deficiencies cited.

The inspection was conducted in response to a complaint referenced as #2-4244.

The complaint was unsubstantiated and no deficiencies were cited during the investigation.

Complaint reference #2-4244 was investigated and found to be unsubstantiated with no deficiencies cited.

The inspection was conducted as a complaint investigation referenced as #2-4195, substantiated with deficiencies cited related to resident care.

The facility failed to develop and implement a comprehensive care plan ensuring the resident attained the highest practicable physical, mental, and psychosocial well-being. Specifically, Resident #93575 was not offered showers twice weekly as required, receiving only three showers in June 2004 despite no documented refusals.

Complaint reference #2-4195 was substantiated with deficiencies cited. The complaint involved failure to provide showers as per the care plan for Resident #93575, confirmed by interviews with the Medical Power of Attorney, CNA, and social worker.

This document is a Plan of Correction related to deficiencies identified during a prior inspection of the facility Morgantown Heights of Journey.

The document includes a deficiency related to the facility's obligation to inform residents of their rights, rules, services, and charges in writing and orally in a language they understand, as required by regulation 483.10(b).

Complaint investigation related to resident rights, privacy, abuse allegations, quality of care, and dietary services at Morgantown Heights of Journey nursing facility.

The facility was found to have multiple deficiencies including failure to safeguard resident medical records, failure to investigate a verbal abuse complaint, inadequate assistance with toileting during meals, improper administration of inhalers, inadequate pain assessment and management, failure to provide ordered dietary items, unsafe medication storage practices, and medication labeling errors.

Complaint reference #2-4040 was substantiated with no deficiencies cited related to that complaint. However, a verbal abuse complaint involving Resident #91 was found substantiated but not investigated by the facility.

The inspection was conducted to determine the facility's compliance with the provisions of NFPA 101, Life Safety Code; 2000 Existing Edition.

Based on review of facility documentation, staff interview, observations, and performance testing, the facility was found to be in compliance with the Life Safety Code requirements.

The inspection was conducted as a behavioral health survey to assess the safety and appropriateness of the environment for adolescent consumers.

The facility was found not to have implemented programs in a safe and appropriate environment for consumers, with specific issues including lack of alarms on outside doors and insufficient awake staff supervision on weekend nights.

The inspection was conducted as a complaint investigation referenced as #2-3238.

The complaint was unsubstantiated and no deficiencies were cited during the investigation.

Complaint reference #2-3238 was unsubstantiated with no deficiencies cited.

The inspection was conducted as a complaint investigation referenced as #2-3132.

The complaint was unsubstantiated and no deficiencies were cited during the investigation.

Complaint reference #2-3132 was unsubstantiated with no deficiencies cited.

The inspection was conducted to review facility documentation, staff interviews, observations, and performance testing to determine compliance with NFPA 101, Life Safety Code; 1973 New Edition.

The facility was found to be in compliance with the provisions of NFPA 101, Life Safety Code; 1973 New Edition.

Annual inspection survey conducted to assess compliance with federal regulations related to resident rights, transfer and discharge, staff treatment, quality of life, environment, resident assessments, dietary services, pharmacy services, and physical environment.

The facility was found deficient in multiple areas including failure to ensure residents' rights were fully exercised, inadequate notification during transfers and discharges, incomplete staff registry checks, failure to provide appropriate dining accommodations, lack of homelike environment during meals, incomplete resident assessments and care plans, failure to follow physician orders for bowel management and snacks, improper food temperature and palatability, unsanitary kitchen conditions, medication labeling issues, and incomplete medical record documentation.

The inspection report documents a deficiency related to the facility's failure to notify the legal representative of Resident #133 prior to initiating a chemical hair treatment.

The facility did not ensure that the legal representative for Resident #133 was notified before administering a chemical relaxer to the resident's hair. Interviews and medical record review confirmed the resident's son, who was the health care surrogate, was not informed or asked for permission.

The inspection was conducted to review facility documentation, staff interviews, and observations to determine compliance with the Fire Safety Survey Report Short Form as it pertains to NFPA 101; Life Safety Code, 1973 New Edition.

The facility was found to be in compliance with the provisions of the Fire Safety Survey Report Short Form related to NFPA 101; Life Safety Code, 1973 New Edition.

Annual inspection survey conducted to assess compliance with federal regulations regarding resident rights, quality of care, environment, infection control, and clinical record maintenance.

The facility was found deficient in multiple areas including failure to implement staff reference checks, inadequate promotion of resident dignity and respect, failure to provide medically related social services, poor environmental conditions, inadequate personal care such as nail care, failure to implement physician orders for range of motion, lack of infection control measures for residents with MRSA, and inaccurate clinical documentation.

The inspection was conducted as a comprehensive annual survey of Morgantown Heights of Journey nursing facility to assess compliance with federal regulations and quality of care standards.

The facility was found deficient in multiple areas including failure to complete individual assessments prior to use of physical restraints, failure to maintain resident dignity by paging over intercom, failure to allow residents choice in morning rising times, failure to revise care plans following assessments, inadequate care for residents with pacemakers, failure to support resident's feet properly, inadequate supervision during resident transport, medication errors including improper administration and lack of side effect monitoring, lack of emergency power system remote annunciator, incomplete nurse call system, and unsanitary dietary conditions including improper freezer temperature and sanitizer concentration.

The inspection was conducted to assess compliance with NFPA 101 Life Safety Code standards, specifically focusing on smoke barrier doors and the installation of sprinkler systems throughout the facility.

The facility was found to have smoke barrier doors without required vision panels and incomplete sprinkler protection, with certain resident room closets and storage areas lacking sprinkler heads and obstruction of sprinkler patterns by closet doors.

This document is a Statement of Deficiencies and Plan of Correction for Morgantown Heights of Journey, detailing regulatory deficiencies identified during a survey completed on April 26, 2000.

The report identifies multiple deficiencies including failure to properly inform residents of their rights and services, issues related to grievances, staff treatment of residents, quality of life, and dietary services. Corrective actions and completion dates are noted for each deficiency.